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About HealthSun

Looking for Medicare Advantage Plan options? We are changing the healthcare experience – making it easier, friendlier and more accessible.

Our Story

Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Miami, Florida. Serving more than 50,000 members in Dade, Broward and Palm Beach County, HealthSun is one of the fastest growing health plans in South Florida. We are also proud that our members are very satisfied with our services as demonstrated in our yearly independent member satisfaction survey. Our valued members are serviced through our extensive provider network and dedicated professionals. As a local plan, we recognize the healthcare needs of our community and strive to provide our members with only the best service and experience possible.

Mission Statement

HealthSun Health Plans is dedicated to the provision of high quality cost effective care and services that continually satisfies the needs of providers, and the unique and diverse needs of Medicare Members.

Goals

  • Improve and maintain member's health and well-being.
  • Promote health and early intervention and empower members to develop and maintain a healthy lifestyle.
  • Involve members in treatment and care management decision making with their physician.
  • Be responsible and accountable to member concerns and grievances.
  • Coordinate accessible care and treatment for members in a timely manner.

Licensure

HealthSun Health Plans, Inc. is a Florida corporation and is a licensed as a health maintenance organization to do business in Miami-Dade and Broward counties. HealthSun Health Plans, Inc. is a Medicare Advantage Organization with a Medicare contract with the Centers for Medicare & Medicaid Services (CMS) — Approved Benefits HMO Plans are available to anyone enrolled in Part B and entitled to Part A of Medicare through age or disability. Limitations and co-payments apply.

Health Plan Accredited by AAAHC

HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Enrollment in HealthSun Health Plans depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. Star rating is for contract years 2018, 2019, 2020, 2021, and 2022. HealthSun complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-336-2069. (TTY: 1-877-206-0500). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-336-2069. (TTY: 1-877-206-0500).

Do you need to file a complaint? File your complaint online via CMS by submitting the Medicare Complaint Form. Should you need to file a complaint with Medicare you may do so by calling CMS at 1-800-Medicare.

Report suspected instances of FWA or any other non-compliance activity. For your convenience, you can call our Compliance Hotline at 1-844-420-0080 (USA and Canada only) available 24 hours a day and 7 days a week provided by LightHouse Services. Para español llama al 1-800-216-1288 (Si usted esta llamando desde México marque el 1-800-681-5340). You can also email issues to [email protected] or fax to 215-689-3885 (must include the company name on the email and fax).